| NPI | 1851316210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA LIMITED) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MD D56581) |
| 207P00000X Emergency Medicine (Licence: NY 208024) | |
| 207P00000X Emergency Medicine (Licence: VA 0101059120) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2008-02-19 |